# 828 WALK IN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAINSTOP SPINE CLINIC, LLC
- **Other names:** Painstop Spine Clinic, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255608816
- **Legal business name:** PAINSTOP SPINE CLINIC, LLC
- **Authorized official:** STACEY M TSANG (GENERAL MANAGER)
- **Authorized official phone:** (228) 273-4096

## Contact information

- **Practice address:** 12207 HWY 49, SUITE 40, GULFPORT, MS 39503
- **Practice address phone:** (228) 832-8872
- **Practice address fax:** (866) 809-7246
- **Mailing address:** PO BOX 4594, BILOXI, MS 39535-4594
- **Mailing address phone:** (228) 273-4096
- **Mailing address fax:** (866) 809-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 14282 | MS | Yes |
| 363L00000X | Nurse Practitioner | R791344 | MS | — |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/28/2011